Home med lists make me crazy. - page 3

by imintrouble 6,079 Views | 46 Comments

I hate home med lists. Hate, hate, hate them. They come up from the ER with no dosages, no routes, and no correct name. "Stool softener" is not an approved med name. The ER MD checks all the boxes to continue, and I know he/she... Read More


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    Wow. I can't imagine our pharmacist doing the med-rec list. Our any of our doctors. At my hospital, it is the nurse's responsibility, period. If the nurse can't get a correct list, the nurse gets written up. Or fired. They make a big, huge deal out of it. The nurses are supposed to make the patient's family bring in the bottles, but if they don't, then tough luck, it is the nurse's problem. We are in a rural area, and the pharmacies aren't open at night, or on Sundays, and some people get their meds from mail-order, so it is a time-consuming problem.
    imintrouble likes this.
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    My ER is doing a pilot program where we have a pharmacy tech on the floor from 7a-7p to do home med lists. It can be a little helpful, but half my patients have no clue what the name of their meds are, or why they take them, let alone dosage. "Oh, I take that water pill, you know!" *headdesk* Nothing makes me happier than when a spouse or family member comes along and has a fully updated med list written out with all of the dosages and frequency. I don't trust nursing home lists though...too often I'll go over those with a pt only to discover they haven't taken the medication in months, drives me crazy.
    Hoozdo, imintrouble, and wooh like this.
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    At the hospital I work at, a Pharmacy tech comes to do a med rec. list from the patient (or family or from pills brought in) upon arrival to the floor. The MD/PA goes over it with the patient later.

    Can't even tell you how much I love this system.
    imintrouble and NRSKarenRN like this.
  4. 8
    Quote from applewhitern
    Wow. I can't imagine our pharmacist doing the med-rec list. Our any of our doctors. At my hospital, it is the nurse's responsibility, period. If the nurse can't get a correct list, the nurse gets written up. Or fired. They make a big, huge deal out of it. The nurses are supposed to make the patient's family bring in the bottles, but if they don't, then tough luck, it is the nurse's problem. We are in a rural area, and the pharmacies aren't open at night, or on Sundays, and some people get their meds from mail-order, so it is a time-consuming problem.
    Because nurses are mind readers, and we should be able to just divine the list of home meds. Definitely should be a firing offense if we're unable to.

    But we're definitely more expendable than MDs and PharmDs, so we do make convenient fall guys.
    Hoozdo, nuangel1, One1, and 5 others like this.
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    another thing turfed off into nursing that imo should not be (at least not sole or primary) nursing responsibility
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    This is another case of "it falls to the nurses because nobody else wants to deal with it".
    I do like hearing that some places are getting pharmacy involved.
    I used to work in an area long ago where a some of the older people we worked with had limited levels of literacy. I remember being responsible for getting those long lists of home meds and once talking to a pt's illiterate next of kin on the phone spelling out letter for letter everything that was on those prescription bottle labels. He couldn't really read, but he knew the alphabet. I left work really late that day.
  7. 4
    It can be frustrating and can be dangerous since you do not really know the exact meds to give out. Has to have a better system and clear med instruction.
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    Hope the system will get better.
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    [QUOTE=imintrouble;7270214]

    I could just take the orders off the bottles, and double check with the pt. That's when they bring them.

    Yeah, but who says what is in the bottle is what is on the label or that it is current?
    imintrouble and applewhitern like this.
  10. 2
    Quote from turnforthenurseRN

    My absolute FAVORITE is getting the LOLs or LOMs from the nursing home with like 5 pages of meds.
    My absolute FAVORITE is getting the LOLs or LOMs from the hospital with 5 pages of meds.
    My 2nd favorite is getting 2 different lists of meds for the same person.
    My 3rd favorite is getting a list of meds scribbled onto the bottom carbon copy of the discharge list.

    Seriously when discharging a patient to a nursing home how hard is it to send us ONE complete neatly, typed list of discharge meds.
    imintrouble and morte like this.


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